The role of early pregnancy assessment clinics

Expectant management of incomplete, spontaneous first‐trimester miscarriage: outcome according to initial ultrasound criteria and value of follow‐up visits

“…Subsequently, the presence of transvaginal bleeding or lower abdominal pain, and ultrasound images showing heterogeneous irregular echoes in the midline of the uterine cavity, are suggestive of an incomplete miscarriage 2 . The ideal way of helping women with this condition is by referral to an open access early pregnancy assessment unit with dedicated diagnostic facilities and staff 3,4 . Expectant management has been shown to be a suitable alternative to immediate surgical evacuation of the uterus for most women presenting with an incomplete, spontaneous miscarriage during the first trimester [5][6][7] .…”